Travel Claim Forms

Submission of Claim

To submit a claim for fees covered by your travel insurance, identify the box of the benefit for which you wish to claim and read the instructions.

Emergency Medical Care Benefits for Canadien Travellers

1.  Download and read carefully the following document: « Important notice (10-13) »

2.  Download the form(s) associated to your home province and print it/them. If more than one covered person has received medical care, one form per person insured is needed.

3.  Duly complete and sign the form(s).

4.  Attach all relevant originals and detailed supporting documents after having made copies for your personal records.



New Brunswick

Newfoundland and Labrador

Prince Edward Island, Nova Scotia and Saskatchewan


British Columbia

Yukon, Northwest Territories, Nunavut and Manitoba

Health Services Departments from Manitoba and the three territories require that their residents submit first to their public healthcare program. Once the reimbursement from the government is received, you will have to submit your claim to your private insurance and include a proof of this governmental reimbursement.

Trip Cancellation or Interruption

1.  Download and read carefully the document "Important Notice".

2.  Download the claim form "Cancellation Form CANASSISTANCE" and print one copy per covered person under the contract.

3.  Duly complete and sign the form.

4.  If cancellation is due to a medical condition, download and print the document "Treating Physician Form" and have it completed by your treating doctor.


1.  Download and read carefully the document "Requested Documentation".

2.  Download and print the document "Baggage Insurance Claim Form CANASSURANCE".

3.  Duly complete and sign the form.

*** Important ***

Please note that all claims must include:
* Duly completed and signed claim forms;
* Relevant originals and detailed supporting documents;
Only original documents are accepted and they will not be returned. Please, make copies for your personal files.

Need help?

For any question regarding your claim, do not hesitate ton contact our claims service department Monday to Friday from 8:30 am to 5:00 pm (Eastern time).

Medical claims ‐ Quebec residents: 514-286-6690 or 1-800-387-2538
All other types of claims: 514-286-8336 ou 1-800-264-1852
Courriel : Email :

To download a claim form, you need Acrobat Reader.
You can download it free of charge: